DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20211456

The prevalence of physical activity and perceived barriers among health care professionals in Gaza Strip/Palestine

Ahmed H. Albelbeisi, Ameer K. Shehada

Abstract


Background: Physical inactivity is public health problem in the world, it has been estimated that physical inactivity one of the main risk factors for worldwide mortality, and related to more than five million deaths annually. The present study aimed to determine the prevalence of physical activity (PA) among Palestinian healthcare professionals and the main perceived barriers toward the practice of PA.

Methods: A cross-sectional, snowball sampling technique, an online questionnaire was employed among healthcare professionals. The main perceived barriers to adherence to PA were assessed by the CDC questionnaire, adherence level assessed based on the World Health Organization (WHO) recommendations. Statistical analysis was performed using statistical package for the social sciences (SPSS) version 22.

Results: There were 400 healthcare professionals included in the study, 17% were physicians, 43% were nurses, around 19% were lab-technicians, around 12% were X-ray-technicians, and around 9% were physiotherapists. Their mean (SD) age 32.6 (±8.4) years. Only 13.5% of the study participants reported that they were adherence to the practice of physical activity, the prevalence of regular physical activity among different healthcare professionals’ disciplines were reported as 6.5% for X-ray-technicians, 10.7% for lab-technicians,11.8% for physicians, 16.1% for nurses, and 18.9% for physiotherapist. The main reasons for being inactive were lack of energy, lack of willpower, lack of time, and lack of resources.

Conclusions: The healthcare professional’s adherence to physical activity is suboptimal. Varied implementation strategies targeting the barriers are extremely required, public authorities should enhance the access to physical activity infrastructure, and reinforce the change toward healthy behaviors.


Keywords


Physical activity, Prevalence, Barriers, Healthcare professionals

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References


Organization WH. Physical activity, key facts. 2018. Available at: https://www.who.int/news-room/fact-sheets/detail/physical-activity. Accessed on 05 October 2020.

World Health Organization. Global recommendations on physical activity for health. 2010. Available at: https://www.who.int/publications /i/item/9789241599979. Accessed on 05 October 2020.

World Health Organization. Assessing national capacity for the prevention and control of noncommunicable diseases: report of the 2017 global survey. 2018. Available at: https://www.who.int /ncds/surveillance/ncd-capacity/en/. Accessed on 05 October 2020.

Althoff T, Hicks JL, King AC, Delp SL, Leskovec J. Large-scale physical activity data reveal worldwide activity inequality. Nature. 2017;547(7663):336-9.

Ghosh HA, Shaar A, Mashal J, Dheidil KH, Barghuti N, Shalaldeh N, et al. Diabetes control in 3 villages in Palestine: a community-based quality improvement intervention. J Ambulator Care Management. 2007;30(1):74-8.

Abdeen H. Chronic diseases in Palestine: the rising tide. Bridges. 2006;2:4-7.

Center PHI. Health Annual Report, Palestine 2016. Ministry of Health, Palestine. 2017.

World Health Organization. Health education and promotion. Physical activity. 2019. Available at: https://www.who.int/news-room/fact-sheets/detail/physical-activity. Accessed on: 05 October 2020.

Merom D, Sinnreich R, Aboudi V, Kark JD, Nassar H. Lifestyle physical activity among urban Palestinians and Israelis: a cross-sectional comparison in the Palestinian-Israeli Jerusalem risk factor study. BMC Public Health. 2012;12(1):90.

Ghrayeb FA, Rusli A M, Al Rifai A, Ismail M. The prevalence of physical activity and sedentary lifestyle among adolescents in Palestine. 2013.

World Health Organization. The world health report 2002: reducing risks, promoting healthy life. World Health Organization. 2002. Available at: https://www.who.int/whr/2002/en/. Accessed on: 05 October 2020.

World Health Organization. Global strategy on diet, physical activity and health. 2004. Available at: https://www.who.int/nmh/wha/59/dpas/en/. Accessed on: 05 October 2020.

Fie S, Norman IJ, While AE. The relationship between physicians’ and nurses’ personal physical activity habits and their health-promotion practice: A systematic review. Health Educ J. 2013;72(1):102-19.

Lobelo F, Duperly J, Frank E. Physical activity habits of doctors and medical students influence their counselling practices. Br J Sports Med. 2009;43(2):89-92.

Pearson TA, Blair SN, Daniels SR, Eckel RH, Fair JM, Fortmann SP, et al. AHA guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases. Circulation. 2002;106(3):388-91.

Vanhees L, Lefevre J, Philippaerts R, Martens M, Huygens W, Troosters T, et al. How to assess physical activity? How to assess physical fitness? Eur J Cardiovasc Prev Rehab. 2005;12(2):102-14.

Albelbeisi AH, Albelbeisi A, El Bilbeisi AH, Takian A, Akbari‐Sari A. Capacity of Palestinian primary health care system to prevent and control of non‐communicable diseases in Gaza Strip, Palestine: A capacity assessment analysis based on adapted WHO‐PEN tool. Int J Health Planning Management. 2020.

Banday AH, Want FA, Alris FFA, Alrayes MF, Alenzi MJ. A cross-sectional study on the prevalence of physical activity among primary health care physicians in Aljouf region of Saudi Arabia. Materia socio-medica. 2015;27(4):263.

Snedecor GW, Cochran WG. Statistical Methods, eight edition. Iowa state University press, Ames, Iowa. 1989.

CDC. Barriers to Being Active Quiz. Available at: https://www.cdc.gov/diabetes/ndep/pdfs/8-road-to-health-barriers-quiz-508.pdf. Accessed on 10 July 2020.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.

Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402-7.

Chin SH, Kahathuduwa C, Binks M. Physical activity and obesity: what we know and what we need to know. Obesity Reviews. 2016;17(12):1226-44.

Group DPPR. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New Engl J Med. 2002;346(6):393-403.

Berman DM, Rogus EM, Busby-Whitehead MJ, Katzel LI, Goldberg AP. Predictors of adipose tissue lipoprotein lipase in middle-aged and older men: relationship to leptin and obesity, but not cardiovascular fitness. Metabolism. 1999;48(2):183-9.

Iwuala S, Sekoni A, Olamoyegun M, Akanbi M, Sabir A, Ayankogbe O. Self-Reported Physical Activity among Health Care Professionals in South‑West Nigeria. Niger J Clin Prac. 2015;18(6):790-5.

Aghaji M. Doctors lifestyle in Enugu, Nigeria. East Afr Med J. 2000;77(9).

Khateeb E, Alkharji T, AlQutub S. Physical activity and perceived barriers among doctors working in King Abdulaziz Hospital, Jeddah, 2018. Int J Comm Med Public Health. 2019;6(5):1843-52.

Rady M, Sabbour S. Behavioral risk factors among physicians working at Faculty of Medicine-Ain Shams University. J Egyptian Public Health Assoc.1997;72(3-4):233.

Bahram S, Abbas B, Kamal J, Fakhro E. Leisure-time physical activity habits among physicians. Bahrain Med Bull. 2003;25(2):80-2.

Gnanendran A, Pyne DB, Fallon KE, Fricker PA. Attitudes of medical students, clinicians and sports scientists towards exercise counselling. J Sports Sci Med. 2011;10(3):426.

Kumbrija S, Milaković SB, Jelinić JD, Matanić D, Marković B, Simunović R. Health care professionals--attitudes towards their own health. Acta medica Croatica: casopis Hravatske akademije medicinskih znanosti. 2007;61(1):105.

Biernat E, Poznanska A, Gajewski AK. Is physical activity of medical personnel a role model for their patients. Ann Agricultural Env Med. 2012;19(4).

Al-Nozha MM, Al-Hazzaa HM, Arafah MR, Al-Khadra A, Al-Mazrou YY, Al-Maatouq MA, et al. Prevalence of physical activity and inactivity among Saudis aged 30-70 years. Saudi Med J. 2007;28(4):559-68.

Pitsavos C, Panagiotakos DB, Lentzas Y, Stefanadis C. Epidemiology of leisure-time physical activity in socio-demographic, lifestyle and psychological characteristics of men and women in Greece: the ATTICA Study. BMC Public Health. 2005;5(1):37.

Al-Hazzaa HM. Health-enhancing physical activity among Saudi adults using the International Physical Activity Questionnaire (IPAQ). Public Health Nutrition. 2007;10(1):59-64.

AlQuaiz AM, Tayel SA. Barriers to a healthy lifestyle among patients attending primary care clinics at a university hospital in Riyadh. Ann Saudi Med. 2009;29(1):30-5.

Abdel-Salam D, Abdel-Khalek E. Pattern and barriers of physical activity among medical students of Al-Jouf University, Saudi Arabia. J High Institute Public Health. 2016;46(2):41-8.

Jilcott SB, Keyserling TC, Samuel-Hodge CD, Rosamond W, Garcia C, Will JC, et al. Linking clinical care to community resources for cardiovascular disease prevention: the North Carolina Enhanced WISEWOMAN project. J Women's Health. 2006;15(5):569-83.

Gaertner PH, Firor WB, Edouard L. Physical inactivity among physicians. Canad Med Assoc J. 1991;144(10):1253.